Teens and Eating Disorders

Eating disorders are a big and largely untreated challenge for teens. The Archives of General Psychiatry published an interesting article by Sonja Swanson (Arch Gen Psychiatry 2011; 68(7):714-723) containing the findings of a national survey in which adolescents were asked about eating disorders. Here are a few of my key takeaways:

In NYC, more than 25,000 young people suffer from eating disorders.

Prevalence rates for anorexia, bulimia, and binge eating among adolescents were .3%, .9%, and 1.6%, respectively.

The number more than doubles when subthreshold adolescents are included.  

“Subthreshold” means that many—but not all—diagnostic criteria were met.  Other studies have yielded even higher prevalences when subthreshold patients are included (14-22%).

Don’t think this is just an UES problem.

Measures of socioeconomic status (parental education, income, marital status) were not associated with higher prevalence.  And ethnic differences were mixed; for example, Hispanic adolescents reported the highest prevalence for bulimia and non-Hispanic whites tended to report more anorexia.

Don’t overlook binge eating.

The prevalence of binge eating was more than anorexia and bulimia combined.

It’s not just about girls.

The prevalence of anorexia in boys and girls is equal.  With bulimia and binge eating, about one boy is affected for every three girls. 

Age of onset is young.

The median ages at onset of anorexia, bulimia, and binge eating were 12.3, 12.4, and 12.6, respectively.

These kids usually have other issues.

The majority of those with an eating disorder met criteria for at least one other behavioral diagnosis (e.g. major depression, anxiety disorder, substance abuse).  Many of them (e.g. 89% of those with anorexia) reported social impairment.  And more than a third of those with an eating disorder reported thoughts of suicide.

Too many of these teens with eating disorders go untreated.

The good news is that most of them received some sort of treatment for an emotional or behavioral problem.  The bad news is that far fewer got treatment specifically for their eating disorder.If you suspect that your teen has an eating disorder, it’s important to seek help. Give us a call at (646) 414-1446 or schedule a consultation today.

MELISSA GERSON, LCSW

Melissa Gerson is the founder of Columbus Park Center for Eating Disorders in New York City. Over the last 20-plus years, she has trained in just about every evidence-based eating disorder treatment available to individuals with eating disorders: a dizzying list of acronyms including CBT-E, CBT-AR, DBT, FBT, IPT, SSCM, FBI and more.

Among Melissa’s most important achievements has been a certification as a Family-Based Treatment provider; with her mastery of this potent and life-changing (and life-saving!) modality, she’s treated hundreds of young people successfully and continues to maintain a small caseload of FBT clients as she also focuses on leadership and management roles at Columbus Park.

Since founding Columbus Park in 2008, Melissa has trained multiple generations of eating disorder professionals and has dedicated her time to a combination of clinical practice, writing, and presenting.

https://www.columbuspark.com
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Signs of Anorexia in Teens

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